| NPI | 1629778386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY GRACE MARIANO Speech Language Pathologist 206-785-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |